Authorization for Euthanasia Name (owner)(Required) First Last Date MM slash DD slash YYYY Phone (Primary)(Required)Phone (Secondary)Pet's name(Required) Species(Required) Cat Dog Other Breed AgeSex Male Female Color After Care Options(Required) I will handle and take full responsibility for after care arrangements myself. I would like Crooked Tails to arrange a communal cremation (no ashes returned) I would like Crooked Tails to arrange for a private cremation with ashes returned in a wooden urn. I agree to the following:(Required) I certify that I am the legal owner or authorized agent for the owner of the animal described. I give permission for this animal to be euthanized and disposed of in a humane manner. I Agree to the following(Required) To the best of my knowledge, this animal has not bitten anyone in the past 15 days and has not been exposed to rabies. Type your full first and last name to sign this form.(Required) Date MM slash DD slash YYYY
